• Compressive neuropathy of the interdigital nerve
  • Most commonly involves the 2nd and 3rd interdigital nerve between the metatarsal heads
  • Presents with pain worse with weight-bearing or wearing narrow toe box shoes 
  • Nonoperative treaments consists of shoe modification or orthotics, Soft metatarsal pad placed in the shoe etc 
  • No benefit to the steroid injections with regard to pain and function
  • If symptoms persist after conservative management, surgical excision is the most common treatment

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